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CARRIEANNE MILHAM LICENSED CLINICAL SOCIAL WORKER P.C.

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Company Details

Name: CARRIEANNE MILHAM LICENSED CLINICAL SOCIAL WORKER P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 May 2021 (4 years ago)
Entity Number: 6017943
ZIP code: 12065
County: Saratoga
Place of Formation: New York
Address: 6 MUIRFIELD LANE, CLIFTON PARK, NY, United States, 12065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6 MUIRFIELD LANE, CLIFTON PARK, NY, United States, 12065

National Provider Identifier

NPI Number:
1306730551
Certification Date:
2025-06-02

Authorized Person:

Name:
MS. CARRIE ANNE N MILHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
5187500583

Filings

Filing Number Date Filed Type Effective Date
210520000473 2021-05-20 CERTIFICATE OF INCORPORATION 2021-05-20

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State